One of the arguments against the Single Payer system is the fear that much of the medical community will elect to go out of business rather than conform or will move to other countries or situations that will be more appreciative of their talents. In here we use the General Physician as an example representing the entire medical establishment. But the argument applies across the spectrum of health care in these United States. Whether it is doctors or the equipment they use or the medicines they prescribe or the sophisticated equipment they use, it seems that in the United States it costs more and why should that be? The same medicines used in the U.S. can be purchased for far less in Mexico or in Canada, and the cost of a doctor visit is either far less or entirely absent.
One argument put forth is that the HMO insurers have steadily increased compensation to doctors and hospitals and it could be said that this has been done in a lockstep style that amounts to collusion and therefore may be liable to anti-trust investigation by the applicable authorities. In any event it has resulted in the American paying a higher percentage of his or her income (16%) for medical care than any other citizen in the world.
In 2005 the average monthly salary of a family practitioner in the U.S. was $8,169 according to the U.S. Department of Labor in its publication: ‘Family and general practitioners standardized hours (2,080 hours/year) 2005.’ The third highest paid physicians in the world are those of Britain who work under a single payer system. The U.K. doctors earned $6,045 U.S. equivalent dollars for the same hours worked. While some in the community might decide to retire at that point, from the above statistics it would be foolish indeed for them to argue that they could do better somewhere else.